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HOLLY WATTERS PA
NPI 1477371730
Physician Assistant in Oklahoma City, OK

Active since September 26, 2024PECOS Enrolled
700 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 271-6651 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Jan 11, 2026, Sep 26, 2024 (3 updates tracked since 2024).

About Holly Watters Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY WATTERS PA (NPI 1477371730) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (5669) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477371730
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY WATTERSCredential: PA
Location Address700 NE 13TH STOklahoma City, OK 73104-5004
Mailing Address700 Ne 13th St # 38Oklahoma City, OK 73104-5004 · (405) 764-8066 · Fax (405) 271-1001
Phone(405) 271-6651
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 26, 2024
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1477371730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 5669
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
700 NE 13TH ST, Oklahoma City, OK 73104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Watters Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769967462
PECOS Enrollment IDI20260331002196
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRESSIE MCCOY DPT
Physical Therapist
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8000
MEDI FLIGHT OF OKLAHOMA, LLC
Ambulance (Land Transport)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7700
JESSICA R CHAPMAN APRN
Nurse Practitioner
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
BREANNA BROWN APRN
Nurse Practitioner (Family)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
CHRISTINA CHAPMAN
Internal Medicine
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (052) 716-6514
BRADY GARRETT SORRELS DO
Student in an Organized Health Care Education/Training Program
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4351
DR. CAROLINE ELIZABETH SCHUEPBACH DNP
Nurse Practitioner (Acute Care)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
KALEIGH KLING BSN, RN
Registered Nurse (Critical Care Medicine)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Watters's NPI number?

The NPI number for Holly Watters is 1477371730. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Holly Watters located?

Holly Watters practices at 700 NE 13th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-6651.

What is Holly Watters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Holly Watters enrolled in Medicare?

Yes. Holly Watters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Watters was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.